Utilization Management
Affinitē Utilization Management
Welcome to Intelligent Prior Authorization. Affinitē UM leverages intelligent automation to streamline prior authorization and suggest modifications to benefit design that drive holistic, effective, and individualized care.
Full Transparency Across all Departments
Your CM and UM teams will have the same member insights with a seamless workflow on a unified platform.
Increase Member & Provider Satisfaction
With a straightforward process, enable a better experience and less friction for all parties involved.
Empower Your Team with Automated Workflows
Ensure seamless process adherence with optimal efficiency and auto-approval capabilities.
Multi-Dimensional View of Your Members
Affinitē UM provides clear visibility into member benefits/eligibility, attributes, care, and more.
Automation to Ensure Your Team Can Seamlessly Enable Member Care
Current UM technology is not ready for value-based reimbursement models
Healthcare Needs a Next-Generation UM Solution
An integrated solution that automates the utilization management process in real-time for faster care.
An intelligent prior authorization process that utilizes AI-enabled tools to improve the member experience.
Consistent application of benefit coverages and limitations facilitates correct payment of the claim.
7 Questions Every Health Plan Should Ask Before Choosing a Utilization Management Solution
For the health plan that is considering upgrading or replacing their UM system, it is more important than ever to ask the right questions of their potential solution provider.
Affinitē Changes How You
Approach Medical Management
Prescriptive Insightswith True Data Science
With an AI-enabled platform, you get unparalleled access to real-time insights on at-risk populations in need of care.
Seamless Collaborationwith Uniform Data
Align your internal team with members and providers with the same platform, all with the same data.
Smarter Workflows Built on Intelligent Automation
Using Intelligent Automation, mitigate unnecessary friction for your team so they can be more effective.
Persistent Adaptabilityvia Extensible Technology
Leverage composable technology that will grow with your business and enhance your speed to value.